Membership Auditing and Data Specialist
Blue Cross Blue Shield Kansas

The Membership Auditing and Data Specialist will play a crucial role in the department by researching and analyzing data to respond to both internal and external audit requests. This involves not only collecting the necessary information but also ensuring its accuracy and completeness. The Data Analysis aspect of the role involves utilizing various analytical techniques to generate tracking and trending reports that provide insights into the end-to-end enrollment process across divisions.

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"This position is eligible to work onsite, hybrid (9 or more days a month onsite), or remote in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Why Join Us?

• Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Stability: 80 years of commitment, compassion, and community
• Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
• Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Real World Experience: You will work hand in hand with our team in learning our business and applying your classroom learning.
• Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity.

Compensation

$25.58- $$31.97
Non-Exempt 13

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

What you'll do

• Gather all required and relevant data from various sources, such as databases, spreadsheets and systems and prepare responses for all internal and external audits, along with various requests for information from our corporate audit team.
• Perform data analysis on all steps in our end-to-end enrollment process to extract meaningful patterns and trends.
• Monitor key performance indicators (KPIs) and metrics related to the processing of work, identifying areas of improvement or potential issues.
• Identify long-term patterns or changes in the processing of work, which can inform strategic decision-making and resource allocation.
• Compile analysis results to create comprehensive reports that can be shared with stakeholders and management.
• Provide management valuable insights into the efficiency, accuracy, and overall performance of the end-to-end enrollment process.
• Identify ways to implement efficiencies within systems.
• Responsible for preparing accurate and complete MTM ID Card Timeliness reports. This includes gathering data on application submission, processing time, and card delivery, ensuring that the reports provide a comprehensive and accurate overview of performance.
• Research, identify and report to leadership any quality control gaps that may hinder our culture of quality excellence within the department.

What you need

Knowledge/Skills/Abilities

• A deep understanding of the end-to-end enrollment process.
• Effectively review procedures, processes, and data available to determine the accuracy of work being done, respond to audit findings, and identify performance gaps.
• Attention to detail is instrumental in providing reliable information for audits and to ensure MTM ID Card Timeliness reports are accurate when presented to corporate audit. Ability to track and analyze timeliness of ID card issuance at each stage of the process is vital.
• The ability to analyze data, identify patterns, and draw meaningful insights to interpret the results, identify root causes of issues, and make informed recommendations for improvement.
• Being able to think critically and propose effective solutions to addressing audit findings and improving processes.
• Effective communication skills to respond to audits and provide recommendations and reporting to various stakeholders. This includes written communication and verbal communication.
• Able to effectively manage multiple tasks, deadlines, and priorities simultaneously. Strong time management skills are essential for completing audits efficiently and effectively.
• Collaborative skills, including the ability to work effectively in a team environment and build positive relationships, are valuable for success in the role.

Education and Experience:

• High school diploma or GED is required. Additional business administration, or communication training is preferred.
• Two years Health Insurance Membership experience required.
• Knowledge of the work done in the individual areas for the end-to-end enrollment process is preferred.
• Experience in quality control, auditing and /or statistical experience is preferred

Physical Requirements:

• None

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package:
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 5% 401(k) plan matching
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Posting Close Date
October 22, 2024
Pay Rate Type
Hourly

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